| NPI | 1902163207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN RANAE STEWART Owner 989-790-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086254) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-06-15 |